Active NPI
US Home Health Care Inc
- Home Health Agency
- Hurst, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009618
- Legal business name
- US HOME HEALTH CARE INC
- Practice address
- 117 W Bedford Euless Rd
Hurst, TX 76053-4006 - Phone
- (817) 268-0041
- Fax
- (817) 285-8847
- NPI assigned
- Jun 9, 2006
- Last updated
- Jan 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ikechukwu Andrew Udeme, RN, MBA
- Title
- Don Assist. Admin.
- Phone
- (817) 268-0041
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009618 | TX | Primary |
Addresses
Primary practice location
117 W Bedford Euless Rd
Hurst, TX 76053-4006
Mailing address
117 W Beford Euless Rd
Hurst, TX 76053-4006
Phone (817) 268-0041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2857021 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050112000100 | TX | Part A Provider - Home Health Agency | 0143278564 | Practice locations: Hurst, TX |
| O20090625000138 | TX | Part B Supplier - Independent Clinical Laboratory | 0143278564 | Practice locations: Hurst, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689615031. Details of each certification follow.
Home health agency certification: CCN 679473
- Legal name
- US HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 4, 2004
- Last certification
- Feb 13, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 7, 2003 in TX
- Enrollment address
- 117 W Bedford Euless Rd
Hurst, TX 76053-4006
Care Compare: Home health agency
Medicare Care Compare- Listed as
- US Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 4, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1040267 | US Home Health Care Inc | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
117 W Bedford Euless Rd
Hurst, TX 76053
Phone (817) 268-0041
1244 Southridge Ct
Ste 102
Hurst, TX 76053
Phone (817) 589-7575
1245 Southridge Ct
Ste 203
Hurst, TX 76053
Phone (817) 589-7575
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ikechukwu Andrew Udeme | Corporate Director | Jan 12, 2005 | |
| W-2 Managing Employee | Jan 12, 2005 | ||
| Abigail Udeme | 5% Or Greater Direct Ownership Interest | Dec 1, 2004 | |
| Corporate Director | Jan 12, 2005 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Gerontology Nurse Practitioner
- Hurst, TX
- NPI 1457158479
5% Or Greater Direct Ownership Interest, Corporate Director
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Registered Nurse
- Hurst, TX
- NPI 1013287515
-
- Gerontology Nurse Practitioner
- Hurst, TX
- NPI 1457158479
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- Fort Worth, TX
- NPI 1831726835
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1689615031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W BEFORD EULESS RD",
"city": "HURST",
"state": "TX",
"postal_code": "760534006",
"telephone_number": "817-268-0041",
"fax_number": "817-285-8847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W BEDFORD EULESS RD",
"city": "HURST",
"state": "TX",
"postal_code": "760534006",
"telephone_number": "817-268-0041",
"fax_number": "817-285-8847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "UDEME",
"authorized_official_first_name": "IKECHUKWU",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "DON ASSIST. ADMIN.",
"authorized_official_telephone_number": "817-268-0041",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2857021",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.